311 - Behavior Management Effectiveness of Midazolam Oral Sedation

Purpose: The primary aim of the study was to determine if oral midazolam is an effective advanced behavior management technique based on Frankl Score change. Effectiveness is determined by a positive change in Frankl score of each patient based on the appointment the patient was referred from and the sedation visit itself.

Methods:  Notes about patient behavior and Frankl scores from the referring exam were noted and then compared to the notes regarding patient behavior and Frankl scores from the sedation appointment. Patients who have undergone sedation without a Frankl score reported were subjected to review by three independent researchers and designated a Frankl scored based on behavior notes at the appointment. If inadequate information was provided to designate a Frankl Score, then the patient information was excluded from the study. Results: 270 patient charts (n=270) out of the 376 reviewed were included. 122 patients saw an increase in Frankl Score, 67 saw a decrease in Frankl Score and 81 were unchanged. There was a statistically significant higher percentage of increased frankl scores (p=.000008). Age and gender showed no statistical difference in frankl score increase, however, there was a 50% chance of increased Frankl score if the patient was referred from an operative or limited exam. 

Conclusion: Midazolam as an oral sedative is effective in bettering a patient's behavior based on the Frankl behavior score.